All articles by Nikolaev N. S.

Economics of health

2017 № 9
Experience of the participation of the Clinical Diagnostic Laboratory in external systems for assessing the quality of laboratory research: Federal Center of Traumatology, Orthopedics and endoprosthesis replacement

The article presents the experience of participation of the Clinical Diagnostic Laboratory of the Federal State Budgetary Institution Federal Center of Traumatology, Orthopedics and endoprosthesis replacement of Ministry of Health of the Russian Federation (Cheboksary) in Russian and foreign external systems for assessing the quality of laboratory research

the methods of calculating of differentiated system of payment for labor of doctors, which, in our opinion, is one of the components of motivational mechanisms to improve medical care quality, are presented in this article. The system of payment for labor is based on qualitative and quantitative indicators of labor of Center doctors.

Based on the analysis of FSBI «Federal Centre for trauma, orthopedics and endoprosthesis replacement », the Health Ministry of Russia (Cheboksary) developed a scheme for prevention of hospital infections in high-tech medical center. During 2009–2011 laboratory studies of environmental, medical products, swabs from the hands of members of the operating team, the patient's skin in the surgical field 100% of cases showed negative results. A group disease incidence of hospital infections and occupational diseases among medical workers are not registered. Proportion of infectious complications is at the average 0,36%, which, in our opinion, is due to endogenous infection (pathogenic and conditionally pathogenic micro flora in the setting of chronic foci of infection, long-term use of steroids, cytotoxic drugs).

Quality of health care management

This article presents the experience of the clinical and diagnostic laboratory of the Federal State Publicly-Financed Institution «Federal Center for Traumatology, Orthopedics and Endoprosthesis Replacement» Under the Ministry of Health of the Russian Federation (Cheboksary) on improvement of the quality on postanalytical phase on the basis of identification and analysis of the most important criteria of the postanalytical phase quality under the conditions of hospital of the traumatology and orthopedics profile. Through the introduction and continuous improvement in the framework of ISO 9001 of the system of management of laboratory service quality, the criteria, which significantly increase (affect) quality of provided services, were identified. Improvement of the most important quality indicators, such as total time of analysis, selection of interpretation criteria and critical values of test results, procedure of information processing with the formation of laboratory test form helped to optimize and use efficiently material and human resources for healthcare.